6GY-10619-13646
5 vaccinations
14 coded responses
58 check-ins
14 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 954 / CA
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-02
Registered in v-safe
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2021-02-02
Dose 1 — Moderna
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2021-02-02
Survey response — day 0, dose 1MedDRA: Dizziness — Feeling: Good · Site: Pain · Muscle or body achesFree text: Tiny light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-05
Survey response — days 1–6 daily, dose 1MedDRA: Nausea, Pre-existing disease — Feeling: Good · Headache, NauseaFree text: Nausea is always early a.m or evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · NauseaFree text: Im not sure nausea caused by shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-08
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-09
Health check-in — day 7, dose 1Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-23
- 2021-03-02
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2021-03-04
Dose 2 — Moderna
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Influenza like illness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: The first two days awful like flu. Today gone!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising — Feeling: Good · Fatigue or tirednessFree text: Shot site bruised w black/blue mark 1 diameterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-11
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2021-03-19
Survey response — day 14, dose 2MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feel occasional light headedness. Little kind of dizzy feelings. Going to the doctor on Monday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
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2021-09-02
Survey response — 6 months, dose 2MedDRA: Cough — Feeling: GoodFree text: Slight chesty cough. Has been around for about 2 to 3 weeks. It could be from air conditioning or a fan directed at me. Not bad enough to go to the doctor.jMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-10-27
Dose 3 — Moderna
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2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-10
- 2022-01-26
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2022-04-27
Dose 4 — Moderna
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2022-04-27
Survey response — 6 months, dose 3MedDRA: Atrial fibrillation, Emergency care — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: I experienced a bout of atrial fibrillation and went to the E. R.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Report sent to call center — 6 months, dose 3Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · 1 call case(s)
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2022-04-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-29
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2022-04-29
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-01
- 2022-05-03
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2022-05-06
Health check-in — day 7, dose 4Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-05-11
Survey response — day 14, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: My knee is hurting badly and for no reason that I'm aware of.MedDRA releases: 2024-11 · check-in free text available
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2022-05-18
Survey response — day 21, dose 4MedDRA: Discomfort, Dizziness, Fear — Feeling: Good · Be unable to do your normal daily activitiesFree text: Yesterday I had some really bad light headed sensations. It was uncomfortable and a lol title scary but it's gone completely today.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
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2022-06-01
Survey response — day 35, dose 4MedDRA: Rash macular, Skin discharge, Skin irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: I've got about 6 ugly spotsh on my face that are like acne but they won't go away. Lots of clear liquid coming out. My chin,my nose, my upper lip. Very irritating.MedDRA releases: 2024-11 · check-in free text available
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2022-06-08
Survey response — day 42, dose 4MedDRA: Oral herpes, Self-medication — Feeling: GoodFree text: Still getting awful cold sores. Got some Abreva which is helping a bit but they are still ugly v.I think there is slight improvement though.MedDRA releases: 2024-11 · check-in free text available
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2022-07-27
Survey response — 3 months, dose 4MedDRA: Joint swelling, Peripheral swelling — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Swelling of left ankle and calf a lot, and small amount on right foot.MedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Dose 5 — Moderna
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2022-10-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-26
- 2022-11-02
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2022-11-10
Survey response — day 21, dose 5MedDRA: Cough, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still coughing when I lay down at night. I can't get any sleep.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2023-01-18
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-27 | Moderna | No |
| 5 | 2022-10-19 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Tiny light headed
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Nausea is always early a.m or evening.
Systemic reaction (other): Im not sure nausea caused by shot.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The first two days awful like flu. Today gone!
Systemic reaction (other): Shot site bruised w black/blue mark 1 diameter
Release 6 — day 14, dose 2
Symptoms: Feel occasional light headedness. Little kind of dizzy feelings. Going to the doctor on Monday.
Release 9 — 6 months, dose 2
Symptoms: Slight chesty cough. Has been around for about 2 to 3 weeks. It could be from air conditioning or a fan directed at me. Not bad enough to go to the doctor.j
Release 11 — 6 months, dose 3
Symptoms: I experienced a bout of atrial fibrillation and went to the E. R.
Release 11 — day 14, dose 4
Symptoms: My knee is hurting badly and for no reason that I'm aware of.
Release 11 — day 21, dose 4
Symptoms: Yesterday I had some really bad light headed sensations. It was uncomfortable and a lol title scary but it's gone completely today.
Release 11 — day 35, dose 4
Symptoms: I've got about 6 ugly spotsh on my face that are like acne but they won't go away. Lots of clear liquid coming out. My chin,my nose, my upper lip. Very irritating.
Release 11 — day 42, dose 4
Symptoms: Still getting awful cold sores. Got some Abreva which is helping a bit but they are still ugly v.I think there is slight improvement though.
Release 12 — 3 months, dose 4
Symptoms: Swelling of left ankle and calf a lot, and small amount on right foot.
Release 12 — day 21, dose 5
Symptoms: Still coughing when I lay down at night. I can't get any sleep.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | · | · | ✓ |
| SD | Atrial fibrillation | · | · | ✓ |
| SD | Cough | ✓ | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Fear | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Joint swelling | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Rash macular | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Skin discharge | · | · | ✓ |
| SD | Skin irritation | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release